Provider Demographics
NPI:1952547408
Name:ARCE-LARRETA, MARITZA SILVA (APRN, MSN, RN)
Entity Type:Individual
Prefix:MRS
First Name:MARITZA
Middle Name:SILVA
Last Name:ARCE-LARRETA
Suffix:
Gender:F
Credentials:APRN, MSN, RN
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Other - First Name:
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Mailing Address - Street 1:PO BOX 142107
Mailing Address - Street 2:288 N 1460 W
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84114-2107
Mailing Address - Country:US
Mailing Address - Phone:801-538-6990
Mailing Address - Fax:801-538-9495
Practice Address - Street 1:288 N 1460 W
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84114-2107
Practice Address - Country:US
Practice Address - Phone:801-538-6990
Practice Address - Fax:801-538-9495
Is Sole Proprietor?:No
Enumeration Date:2009-01-05
Last Update Date:2009-01-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT199735-4405363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health